Chest tube, left in place: Difference between revisions

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== Additional Info ==
== Additional Info ==
*The most important distinction here is whether there was purely a '''[[Thoracentesis (diagnostic)]]''' or a therapeutic drainage done.
*The most important distinction here is whether there was purely a '''[[Thoracentesis (diagnostic)]]''' or a therapeutic drainage done.
**As per the usual rules for procedures, coding therapeutic procedures "trumps" purely diagnostic ones
**As per the rules for procedures, when at the same sitting there was a diagnostic procedure AND a therapeutic one, you code BOTH. 
***So if a chest tube is inserted and some of that fluid is sent off for diagnostic testing, then also code [[Thoracentesis (diagnostic)]]
**There could be an unusual circumstance where a therapeutic drainage is done WITHOUT a tube being left in place, in which case instead of this code, you'd use components:
**There could be an unusual circumstance where a therapeutic drainage is done WITHOUT a tube being left in place, in which case instead of this code, you'd use components:
***[[(T) Pleura]]  plus
***[[(T) Pleura]]  plus

Revision as of 16:09, 7 December 2018

CCI Picklist
Procedure: Chest tube, left in place
CCI Picklist code: 1GV.52.HA-TK
CCI Collection Mode: CCI collect each
Start Date: 2018-11-23
Stop Date:

This procedure is a part of CCI Collection via CCI Picklist.

Additional Info

  • The most important distinction here is whether there was purely a Thoracentesis (diagnostic) or a therapeutic drainage done.
    • As per the rules for procedures, when at the same sitting there was a diagnostic procedure AND a therapeutic one, you code BOTH.
      • So if a chest tube is inserted and some of that fluid is sent off for diagnostic testing, then also code Thoracentesis (diagnostic)
    • There could be an unusual circumstance where a therapeutic drainage is done WITHOUT a tube being left in place, in which case instead of this code, you'd use components:

Alternate CCIs to consider coding instead or in addition

Other procedure in Thorax:
 Has CCI Picklist CodeHas CCI 1 CodeHas CCI 2 Code
(D) Anything Inside Thoracic Cavity, NOS2.GY
(D) Axillary Lymph Nodes2.MD
(D) Breast2.YM
(D) Bronchi2.GM
(D) Esophagus2.NA
(D) Heart, NOS2.HZ
(D) Intrathoracic Lymph Nodes, NOS2.MF
(D) Lung2.GT
(D) Mediastinum2.GW
(D) Muscles of Chest and Abdomen, NOS2.SY
(D) Musculoskeletal System, NOS2.WZ
(D) Parathyroid Glands2.FV
(D) Pericardium2.HA
(D) Pleura2.GV
(D) Rotator Cuff2.TC
(D) Shoulder Joint2.TA
(D) Skin, NOS2.YZ
(D) Soft Tissue of Chest, Abdomen, NOS2.SZ
(D) Sternum, Ribs, Clavicle, Scapula2.SL
(D) Thymus2.GK
(D) Thyroid Gland2.FU
(I) Thorax3.GY
(I) Total Body3.ZZ
(T) Aorta, NOS1.ID
(T) Aortic Valve, Related Structures1.HV
(T) Axillary Lymph Nodes1.MD
(T) Breast1.YM
(T) Bronchi1.GM
(T) Cardiac Atrium1.HM
(T) Cardiac Conduction System1.HH
(T) Cardiac ventricle1.HP
(T) Coronary Arteries1.IJ
(T) Coronary Vessels, NOS1.IL
(T) Diaphragm1.GX
(T) Digestive System, NOS1.OZ
(T) Esophagus1.NA
(T) Gallbladder, Bile Ducts1.OD
(T) Heart, NOS1.HZ
(T) Interatrial Septum1.HN
(T) Interventricular Septum1.HR
(T) Intrathoracic Lymph Nodes1.MF
(T) Liver1.OA
(T) Lung1.GT
(T) Mediastinum1.GW
(T) Mitral Valve, Related Structures1.HU
(T) Muscles of Chest, Abdomen, NOS1.SY
(T) Other or Unknown Part of Body1.^^
(T) Parathyroid Glands1.FV
(T) Pericardium1.HA
(T) Pleura1.GV
(T) Pulmonary Artery1.IM
(T) Pulmonary Vein1.IN
(T) Pulmonic Valve, Related Structures1.HT
(T) Respiratory System, NOS1.GZ
(T) Rotator Cuff1.TC
(T) Shoulder Joint1.TA
(T) Skin, NOS1.YZ
(T) Soft Tissue of Chest, Abdomen, NOS1.SZ
(T) Sternum, Ribs, Clavicle, Scapula1.SL
(T) Subclavian, Brachiocephalic, Brachial, Arm Arteries1.JM
(T) Surgically Constructed Sites in Digestive and Biliary Tract1.OW
(T) Thoracic Aorta1.IC
(T) Thoracic Cavity, anything inside, NOS1.GY
(T) Thoracic Duct1.MM
(T) Thoracic Vessels, NOS1.JY
(T) Thymus1.GK
(T) Thyroid Gland1.FU
(T) Total Body1.ZZ
(T) Trachea1.GJ
(T) Tricuspid Valve, Related Structures1.HS
(T) Vena Cava1.IS
(T) Vertebral Bones1.SC
CT of chest with PE protocol (CT angiogram of pulmonary vessels)3.JY.20
CXR (plain film)3.GY.10.VA
Cardiac MRI3.IP.40
Thoracentesis (diagnostic)2.GV.52
Other procedure in Respiratory Px:
 Has CCI Picklist CodeHas CCI 1 CodeHas CCI 2 Code
(D) Anything Inside Thoracic Cavity, NOS2.GY
(D) Bronchi2.GM
(D) Larynx, NOS2.GE
(D) Lung2.GT
(D) Nose2.ET
(D) Paranasal Sinuses2.EY
(D) Pleura2.GV
(D) Soft Tissue of Chest, Abdomen, NOS2.SZ
(T) Bronchi1.GM
(T) Glottis, Larynx, Related Structures1.GE
(T) Lung1.GT
(T) Respiratory System, NOS1.GZ
BiPAP, CPAP, NIV, own ventilator (Mechanical ventilation, noninvasive)1.GZ.31.CB-ND
Blood gas, arterial2.ZZ.13.RE
Blood gas, venous2.ZZ.13.RA
CT of chest with PE protocol (CT angiogram of pulmonary vessels)3.JY.20
CXR (plain film)3.GY.10.VA
PFT (pulmonary function test)2.GZ.21
Prone positioning7.SC.01.TP
Sleep Study (Polysomnogram, done in Miseracordia Sleep lab)2.AN.59
Thoracentesis (diagnostic)2.GV.52
Tracheostomy creation1.GJ.77

Related ICD10 Codes

Related Articles

Related articles:


Imaging Px
Diagnostic Px
Therapeutic Px
Reproductive Px
Musculoskeletal/soft tissue Px
Neuro Px
Respiratory Px
Cardiovascular Px
Gastrointestinal Px
Genitourinary Px
‎Misc Px
CCI_Picklist CCI component 1 codes - what organ was something done to CCI component 2 codes - what was done
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